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Last updated on April 24, 2014 at 5:21 EDT

Latest Milliman Stories

2009-08-25 07:00:00

SEATTLE, Aug. 25 /PRNewswire/ -- The Pegasystems Care Management Framework (CMF) is the first application certified as fully integrated with Milliman Care Guidelines's interactive CareWebQI((R)) clinical guideline software under a new Integration Certification program. CMF, a patient-centric business process management solution designed to improve the entire care management continuum, proved its optimum clinical workflow and usability with CareWebQI through a rigorous validation process....

2009-08-04 07:00:00

SEATTLE, Aug. 4 /PRNewswire/ -- In the world of disease management and general wellness programs, successful implementation consists of applying the right mix of expertise and state-of-the-art tools to a population in need. The ultimate goal is to minimize costs, improve efficiency, and attack the disease path. Consider the value of identifying, in advance, members of potential high-cost disease populations, the biggest users of medical services, and disease management success stories....

2009-07-14 07:00:00

SEATTLE, July 14 /PRNewswire/ -- Northeast Health Care Quality Foundation, one of the nation's leading Quality Improvement Organizations (QIOs), has signed a five-year licensing agreement with Milliman Care Guidelines, LLC, A Milliman Company, to use the Care Guidelines for Medicare utilization and quality reviews in Maine, New Hampshire and Vermont, and for Medicaid utilization and quality reviews in New Hampshire. Northeast Health Care Quality Foundation will use all Care Guidelines...

2009-06-11 07:00:00

Industry Leader Provides Comprehensive Support for New Regulation SEATTLE, June 11 /PRNewswire/ -- Milliman, Inc., the international firm of consultants and actuaries, announced today that it has released an update to the MG-ALFA financial projection software for AG 43 (VA-CARVM) support. The enhancements to the market leading software solution include: Integrated Standard Scenario and Conditional Tail Expectation calculations Projections that capture the impact of hedging and reflect...

2009-06-04 07:00:00

Evidence-Based Care Guidelines will be used to Combat Waste in Medicare Programs SEATTLE, June 4 /PRNewswire/ -- Connolly Healthcare, a permanent Recovery Audit Contractor (RAC) for the Centers for Medicare & Medicaid Services (CMS), has signed a five-year license agreement with Milliman Care Guidelines. Connolly will use the Care Guidelines content and software to review Medicare claims in 15 states -- West Virginia, Virginia, North Carolina, South Carolina, Georgia, Florida,...

2009-06-02 05:00:00

Combined Expertise to Support State Quality and Cost Council Public Reporting Mandate BOSTON, June 2 /PRNewswire-USNewswire/ -- Massachusetts Health Quality Partners (MHQP), a local non-profit health care quality collaborative, has been awarded the contract to provide health care data analytic consulting services to the Massachusetts Health Care Quality and Cost Council (QCC). The core work of the contract has begun and includes developing a plan for the reporting of comparative health care...

2009-05-21 10:32:00

Steve Melek White Paper Offers Advice to Health Plans SEATTLE, May 21 /PRNewswire/ -- May is Mental Health Awareness Month, a time for increasing awareness about mental health issues and getting support to those who need it. This year, health insurers are also looking for guidance as they prepare to implement mental health parity requirements. Milliman expert Steve Melek, FSA, offers advice to health plans and suggests ways to use this legislation as an opportunity to invest in mental...

2009-05-21 07:00:00

Clients Optimize Resources With Imaging, Behavioral and Chronic Management Criteria SEATTLE, May 21 /PRNewswire/ -- Delivering efficient, high-quality healthcare is now easier for providers and payors, thanks to quality and workflow tools embedded in the new Milliman Care Guidelines(R) 13th Edition. Milliman Care Guidelines has integrated diagnosis-specific national quality measures within the Care Guidelines' workflow by mapping its clinical content to national quality standards and...

2009-05-18 11:22:00

Current economic conditions and the unknown effect of healthcare reform create unprecedented cost uncertainty SEATTLE, May 18 /PRNewswire/ -- Milliman, Inc., one of the premier global consulting and actuarial firms, announced today that average total medical spending for its "typical American family of four" reached $16,771, an increase of $1,162. While cost trends are decelerating for the third-straight year, the total-dollar increase is the highest since 2006. The Milliman Medical Index...

2009-05-04 07:00:00

SEATTLE, May 4 /PRNewswire/ -- There is both art and science to balancing the uncertainty of risk against the available information. Understanding the art and science of risk can make the difference between profit and loss among fiercely competitive mid-sized groups, especially in the current economic environment. Milliman expert Jonathan Shreve, FSA, offers his insights and expertise on gaining a competitive advantage in the mid-size group market. Risk selection (assigning a relative level...